MassHealth is seeking qualified applicants for the position of Clinical Pharmacy Manager

Under the general direction of the Deputy Director of Clinical Pharmacy, the Clinical Pharmacy Manager functions as a team member of the MassHealth Pharmacy Program. The Clinical Pharmacy Manager will assist in the development and management of the MassHealth Drug List, clinical initiatives, Accountable Care Organization pharmacy oversight and other pharmacy programs.  This position will serve as a liaison to EOHHS sister agencies, the Drug Utilization Review Program, pharmacy providers, and the pharmaceutical industry, as necessary.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Manage select aspects of the specialty pharmacy program.
• Recommend appropriate therapeutic interchanges based on clinical information, economic evaluations and strategic initiatives.
• Identify market trends related to specialty pharmacy and proactively recommend adjustments.
• Analyze cost data and make formulary recommendations.
• Analyze data and clinical appropriateness for supplemental rebates and present findings to senior management for action.
• Monitor the clinical program, analyze results, and plan new program initiatives.
• Serve as liaison to the MassHealth Quality Office.
• Participate in the development of clinical drug use criteria for the Pharmacy Program.
• Lead pharmacy strategy workgroups to ensure that deliverables are met and that program or initiative implementation is optimized.
• Evaluate appropriate therapeutic classes for procurement based on utilization and clinical information.
• Evaluate, interpret, and present data in formal written format for review.
• Lead and participate in quality improvement and quality assurance initiatives.
• Refer suspected abuse and fraudulent members to the program manager or designee for case review.
• In the absence of the Clinical Pharmacy Director, make clinical recommendations to sister agencies and other stakeholders.

Preferred Qualifications:

• Ensure programs and projects are fiscally responsible.
• Implement policy, including developing policy, obtaining support from necessary parties, and disseminating information
• Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts.
• Previous medical and medication review experience.
• Experience with Medicaid.
• Experience with Managed Care
• Experience in data analysis, and the evaluation and interpretation of economic models.

TO APPLY:

Please upload both Resume and Cover Letter for this position when applying. First consideration will be given to those applicants that apply within the first 14 days.

About MASSHEALTH:

The mission of MassHealth is to improve the health outcomes of our diverse members and their families by providing access to integrated health care services that promote sustainable & equitable health, well-being, independence and quality of life.

For more information about our agency and programs please visit: https://www.mass.gov/orgs/masshealth

Pre-Offer Process:

A criminal and tax history background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests

For questions, please the contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 and select option #4.

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) six (6) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in a particular specialty (i.e. scientific, professional, or technical) and must possess current license and/or registration requirements established for the performance of the position, of which (B) at least two (2) years must have been in a project management, supervisory or managerial capacity or (C) any equivalent combination of the required experience and substitutions below.

Substitutions:

I. A certificate in a relevant or related field may be substituted for one (1) year of the required (A) experience.

II. A Bachelor’s degree in a related field may be substituted for two (2) years of the required (A) experience.

III. A Graduate degree or higher in a related field may be substituted for three (3) years of the required (A) experience.

IV. A Doctorate degree in a related field may be substituted for four (4) years of the required (A) experience.

Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.